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With PCOS, the developing follicles that are normally ovulated each cycle actually remain trapped inside the ovary. After a while, they swell with fluid and turn into cysts. If not treated, a hard shell may also form around the outside of the ovary, which mean eggs will have a harder time getting out. (Taking Charge of Your Fertility, Toni Weschler)
It is a hormone problem, and there is no cure, although Metformin has been found to help some women with this problem. Clomid can also help, (although I think Femara is better than Clomid).
Symptoms you might see with PCOS= irregular periods, excessive facial and body hair, acne, obesity, insulin resistance or diabetes. Ultrasounds of your ovaries and various blood tests (LH, FSH, and testosterone) can help your doc diagnose this. (again, Taking Charge of Your Fertility by Toni Weschler)
I don't have PCOS, but I do have mild diabetes, and doc put me on metformin to help with that. I was ovulating sporadically before that...and now I ovulate every month (although I still have low progesterone levels post-ovulation). So, it's a good start. If you find that you are not ovulating 3 or so months into the metformin, you may find that you need to add Clomid or Femara.
Good luck!
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